C1 Legacy LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10157 Issued in TX

Legal business name

C1 LEGACY LLC

Doing business as

Upper Cervical Health Centers

Practice address

225 S David St
San Angelo, TX 76903-6335

Phone

(325) 655-3666

NPI assigned

Nov 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kellye Patzer

Title

Owner

Phone

(512) 496-9774

Specialties & licenses 1

Addresses

Other names 1

• Upper Cervical Health Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Cordle, DC

  • Chiropractor
  • San Angelo, TX
  • NPI 1134793656
  Medicare reassignment NPD
• Bart Joseph Patzer, DC

  • Chiropractor
  • Austin, TX
  • NPI 1750310827
  NPD
• Chantal Ricard, DC

  • Chiropractor
  • San Angelo, TX
  • NPI 1679257471
  NPD
• Michael Chris Chapman, D.C.

  • Chiropractor
  • Lubbock, TX
  • NPI 1164760443
  NPD (past)
• Thomas Raymond Hollingsworth III, DC

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1922106780
  NPD (past)
• Gene Paul Lusk, D C

  • Thermography Chiropractor
  • San Angelo, TX
  • NPI 1467462564
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1164799227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S DAVID ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036335",
            "telephone_number": "325-655-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S DAVID ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036335",
            "telephone_number": "325-655-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C1 LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "PATZER",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-496-9774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Burton, DO
• Megan Busker, DPT
• Nicole Ralston Butler, COTA
• Jessica Butts, MS, RDN, LD
• Ashley Byler
• Cindy Jennifer Cabrera, MAT, LAT, ATC
• Zachary Nathaniel Cabrera
• Kara Cacioppo
• Hanna M Cain, BCBA
• Stephen R Cainelli, MD

• Chiropractor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.